Crestview Immediate Care Llc

LBN: Crestview Immediate Care Llc
Crestview Immediate Care Llc is an health care organization with primary practice located at 4100 S Ferdon Blvd Ste A3 , Crestview FL 32536-5287. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Crestview Immediate Care Llc can be contacted via phone (850) 758-7791, or through Martin-Overton, Aliason Heather via phone (850) 634-6345.

Contact Information

Primary practice address
4100 S Ferdon Blvd Ste A3 Crestview FL 32536-5287
Phone: (850) 758-7791
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin-Overton, Aliason Heather ARNP
Phone: (850) 634-6345

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1073134730
LBN Legal business name Crestview Immediate Care Llc
DBA Doing business as
Authorized official Martin-Overton, Aliason Heather ARNP
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2020
Last updated Jun 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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